JOURNAL ANALYSIS

Research Title: Conservative management of significant supratentorial epidural hematomas in pediatric patients
Researcher Name: Muhammad Babar Khan, Muhammad Riaz & Gohar Javed
Journal reference : https://link.springer.com/article/10.1007/s00381-014-2391-x

Research Title Problem/Population Intervention Comparison Outcome Study

Designn
Conservative Radiologically Conservative treatment is an A total of 17 patients A retrospective review of A Case and
management of significant epidural optimal treatment option, and satisfied the study criteria pediatric patients with Review of
significant hematomas are patients can be followed safely and were included. extradural hematoma (EDH) Literature.
supratentorial generally treated with using a protocol of serial Conservative management thickness of at least 1 cm
epidural craniotomy and neurological examinations. A was successful in 15 and who were
hematomas in evacuation. center must have resources to patients, while a conservatively managed was
pediatric A total of 17 patients perform a craniotomy with craniotomy with performed. All patients were
patients satisfied the study evacuation of EDH in case of evacuation of hematoma followed up in neurosurgery
criteria and were neurological worsening and be had to be performed in two outpatient clinics after
included. able to provide trained staff to patients. All patients had a discharge at 1-month, 3-
carry out serial neurological GOS score of 5 on 1-year month, 6-month, and 1-year
examinations before treating follow-up, had normal intervals. Detailed
these patients conservatively. schooling, and reported neurological examination
complete satisfaction with was performed at each visit,
the management protocol and a standardized
questionnaire was also used
to document the parent’s
subjective opinion of the
patient’s quality of life